Mrs. Jennifer M Nevadomski, LPC
Counselor, Professional in Middlebury, Connecticut
1558012617- Practice location
- 687 Straits Tpke Ste 1C, Middlebury, CT 06762-2846
- Phone
- 203-408-2420
- Fax
- —
- Last updated
- May 14, 2026
Jennifer Marie Nevadomski is a Counselor, Professional based in Middlebury, CT. Jennifer Marie Nevadomski practices in Middlebury, CT and has the professional credentials of LPC. The NPI Number for Jennifer Marie Nevadomski is 1558012617 and holds a License No. 5350 (CT). The current practice location address for Jennifer Marie Nevadomski is 687 Straits Tpke Ste 1C, Middlebury, CT 06762-2846 and can be reached out via phone at 203-408-2420.
Provider Profile Details
- NPI Number
- 1558012617
- Provider Name
- Jennifer Marie Nevadomski
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 687 Straits Tpke Ste 1C, Middlebury, CT 06762-2846
- Phone Number
- 203-408-2420
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 11, 2022
- Last Update Date
- May 14, 2026
- Certification Date
- May 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 687 Straits Tpke Ste 1C
Middlebury, CT 06762-2846 - City
- Middlebury
- State
- Connecticut
- Zip
- 06762-2846
- Phone Number
- 203-408-2420
Provider Business Mailing Address Details
- Address
- 67 Shane Dr
Southbury, CT 06488-2678 - City
- Southbury
- State
- CT
- Zip
- 06488-2678
- Phone Number
- 516-204-2310
License Information
- License Number
- 5350
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jennifer M Nevadomski, LPC?
The NPI number of Mrs. Jennifer M Nevadomski, LPC is 1558012617. It was assigned on January 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer M Nevadomski, LPC?
Mrs. Jennifer M Nevadomski, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 5350.
Where does Mrs. Jennifer M Nevadomski, LPC practice?
The practice location is 687 Straits Tpke Ste 1C, Middlebury, CT 06762-2846. The office can be reached at 203-408-2420 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558012617 directly on the NPPES registry website.